Öz
In the early embryonic period, abnormal fusion of the mullerian canal or lack of absorption of the septum, results anatomical malformation of the female genital system. These malformations present themselves as obstetric problems such as infertility, habitual abortion, and premature malpresentation.26 years old, nulligravid, infertile patient had suspected left unicornuate uterus in her hysterosalpingography report. After laparoscopic and hysteroscopic examination, non-communicant, left uniconuate uterus with right rudimentary horn was founded. The pathology report showed no cavity in the rudimentary horn. Rudimentary horn without cavity During the operation, the right rudimentary horn and the isolated right distal tube was excised, as a prophylactic manner. Congenital anomalies of Mullerian system are associated with fertility problems. Diagnosis of such anomalies are made firstly by use of hysterosalpingography HSG , laparoscopy, hysteroscopy and ultrasonography USG . Because of the potential problems, if those anomalies encountered accidentally during a surgical procedure; it is recommended to excise the rudimentary horn and the ipsilateral tube prophylactically. In addition, urinary tract anomalies should be investigated which may be accompanied.
Anahtar Kelimeler
Kaynakça
- Simon C, Martinez L, Pardo F, ve ark. Mullerian defects in women with normal reproductive outcome. Fertility and sterility 1991;56:1192-1193
- Engmann L, Schmidt D, Nulsen J, ve ark. An unusual anatomic variation of a unicornuate uterus with normal external uterine morphology. Fertility and sterility 2004;82:950-953
- Handa Y, Hoshi N, Yamada H, ve ark. Tubal pregnancy in a unicornuate uterus with rudimentary horn: a case re- port. Fertility and sterility 1999;72:354-356
- Grimbizis GF, Camus M, Tarlatzis BC, ve ark. Clinical implications of uterine malformations and hysterosco- pic treatment results. Human reproduction update 2001;7:161-174
- Golan A, Langer R, Bukovsky I, ve ark. Congenital ano- malies of the mullerian system. Fertility and sterility 1989;51:747-755
- Perrotin F, Bertrand J, Body G. Laparoscopic surgery of unicornuate uterus with rudimentary uterine horn. Hum Reprod 1999;14:931-933
- Reichman D, Laufer MR, Robinson BK. Pregnancy out- comes in unicornuate uteri: a review. Fertility and steri- lity 2009;91:1886-1894
- Arık Ç, Aygen E, Ozcelik B, ve ark. Laparoscopic treat- ment of unicornuate uterus with noncommunicating rudimentary uterine horn. Erciyes Tıp Dergisi 2002;3:149-152
- Heinonen PK. Clinical implications of the unicornuate uterus with rudimentary horn. International journal of gynaecology and obstetrics 1983;21:145-150
- Nezhat CR, Smith KS. Laparoscopic management of a unicornuate uterus with two cavitated, non- communicating rudimentary horns: case report. Hum Reprod 1999;14:1965-1968
Öz
Erken embriyonik dönemde müllerian kanalın anormal füzyonu veya septum absorbsiyonunun yetersizliği, kadın genital sisteminin anatomik malformasyonu ile sonuçlanmaktadır. Bu malformasyonlar infertilite, habitüel abortus, malprezentasyon ve prematür eylem gibi obstetrik sorunlarla kendini göstermektedir.26 yaşında nulligravid, infertil hasta kadın hastalıkları ve doğum kliniğimize başvurdu. Histerosalpingografi raporunda sol unikornuat uterus şüphesi olan hastanın yapılan laparaskopi ve histereskopi işlemi esnasında non–kominkan sağ rudimenter hornlu sol unikornuat uterusu olduğu tespit edildi. Patoloji raporu rudimenter hornun kavite içermediğini gösteridi. Kavitesiz rudimenter horn Operasyon esnasında sağ rudimenter horn ve izole sağ distal tüp proflaktik olarak eksize edilmiştir.Müllerian sistemin kongenital anomalileri fertilite problemleri ile birliktedir. Bunların tanısında öncelikle histerosalpingografi HSG , laparoskopi, histereskopi ve ultrasonografi USG kullanılmaktadır. Potansiyel problemler nedeniyle cerrahi bir prosedür esnasında rastlandığında; rudimenter horn, ipsilateral tubanın proflaktik eksizyonu önerilir. Ayrıca beraberlik gösterebilen üriner sistem anomalileri de araştırılmalıdır.
Anahtar Kelimeler
Kaynakça
- Simon C, Martinez L, Pardo F, ve ark. Mullerian defects in women with normal reproductive outcome. Fertility and sterility 1991;56:1192-1193
- Engmann L, Schmidt D, Nulsen J, ve ark. An unusual anatomic variation of a unicornuate uterus with normal external uterine morphology. Fertility and sterility 2004;82:950-953
- Handa Y, Hoshi N, Yamada H, ve ark. Tubal pregnancy in a unicornuate uterus with rudimentary horn: a case re- port. Fertility and sterility 1999;72:354-356
- Grimbizis GF, Camus M, Tarlatzis BC, ve ark. Clinical implications of uterine malformations and hysterosco- pic treatment results. Human reproduction update 2001;7:161-174
- Golan A, Langer R, Bukovsky I, ve ark. Congenital ano- malies of the mullerian system. Fertility and sterility 1989;51:747-755
- Perrotin F, Bertrand J, Body G. Laparoscopic surgery of unicornuate uterus with rudimentary uterine horn. Hum Reprod 1999;14:931-933
- Reichman D, Laufer MR, Robinson BK. Pregnancy out- comes in unicornuate uteri: a review. Fertility and steri- lity 2009;91:1886-1894
- Arık Ç, Aygen E, Ozcelik B, ve ark. Laparoscopic treat- ment of unicornuate uterus with noncommunicating rudimentary uterine horn. Erciyes Tıp Dergisi 2002;3:149-152
- Heinonen PK. Clinical implications of the unicornuate uterus with rudimentary horn. International journal of gynaecology and obstetrics 1983;21:145-150
- Nezhat CR, Smith KS. Laparoscopic management of a unicornuate uterus with two cavitated, non- communicating rudimentary horns: case report. Hum Reprod 1999;14:1965-1968
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2012 |
| Yayımlandığı Sayı | Yıl 2012 Cilt: 1 Sayı: 3 |